Appeals Intake Coordinator

Stefanini Group; Grand Rapids (MI); On-site; USD 23,000 - 25,000; Part time

Job summary

Stefanini Group in Grand Rapids, MI is seeking an Appeals Intake Coordinator for a 6+ month contract. The role focuses on processing Medicare appeals and grievances, triaging urgency, assigning cases to analysts, and supporting investigations and documentation collection with cross-team collaboration.

The position requires a high school diploma and at least 1 year of health insurance or managed care experience, with proficiency in Microsoft Office; Health Edge, Epic, or Facets are a plus.

Qualifications

• High School Diploma or equivalent required.
• Minimum of one (1) year of health insurance or managed care experience performing Appeals and Grievances functions.
• Proficiency with Microsoft Office applications; Health Edge/Epic/Facets preferred.

Responsibilities

• Review and triage Medicare appeals and grievances based on urgency and type of concern.
• Assign incoming complaints, appeals, and inquiries to the appropriate analyst for review and resolution.
• Assist with investigations, documentation collection, and correspondence related to appeals and grievances.
• Communicate with members, providers, and regulatory agencies regarding decisions and actions.
• Collaborate with internal teams to effectively manage incoming concerns.
• Participate in auditing and monitoring activities as assigned.
• Adhere to HIPAA regulations and maintain compliance.

Skills

Healthcare knowledge

Communication

Time management

Analytical thinking

Team collaboration

Education

High School Diploma

Tools

Microsoft Office

Health Edge

Epic

Facets

Job description

Join us to co-create solutions for a better future!

Job Details

Administrative

Appeals Intake Coordinator Grand Rapids,MI

Posted:10/19/2026

Job Description

Job ID#: 65198

Job Category: Administrative

Position Type: Contract

Duration: 6+ months

Remaining Positions: 2

Job Summary: The Appeals intake coordinator position is focused on the processing of incoming member and provider Medicare appeals and grievances. This team member will screen incoming complaints and appeals for level of urgency, benefit or medical necessity issues and other appropriate inquiries. This team member will assign the incoming concern to the appropriate analyst and may assist in investigations, documentation gathering, and correspondence as needed. This team member may also participate in auditing and monitoring activities as assigned. This team member will promote quality member care and customerservice/satisfaction. This team member will interact with Customer Service, Utilization Management, Medical Directors, and other internal teams as necessary to effectively triage incoming complaints and appeals.

Essential Functions:

• Review and triage incoming Medicare appeals and grievances based on urgency and type of concern.
• Assign incoming complaints, appeals, and inquiries to the appropriate analyst for review and resolution.
• Assist with investigations, documentation collection, and correspondence related to appeals and grievances.
• Correspond with members, providers, and regulatory agencies regarding decisions and actions.
• Collaborate with Customer Service, Utilization Management, Medical Directors, and other internal teams to effectively manage incoming concerns.
• Participate in auditing and monitoring activities as assigned.
• Communicate, collaborate, and cooperate with internal and external stakeholders.
• Promote quality member care and customer service satisfaction.
• Adhere to all compliance requirements and HIPAA regulations.
• Support departmental goals that contribute to the overall success of the organization.

Job Requirements Details:

Qualifications:

Education:

• High School Diploma or equivalent required.

Experience:

• Minimum of one (1) year of health insurance or managed care experience performing Appeals and Grievances functions.

Knowledge, Skills, and Abilities:

• Knowledge of healthcare delivery systems.
• Ability to work in a fast-paced environment with changing priorities.
• Strong collaboration and teamwork skills.
• Effective written communication skills.
• Strong time management and prioritization skills.
• Demonstrated problem-solving abilities.
• Strong organizational skills and attention to detail.
• Ability to identify and define problems, gather and analyze information, establish facts, draw valid conclusions, and implement changes related to federal regulations.

Technical Skills:

• Proficiency with Microsoft Office applications.
• Experience with Health Edge, Epic, and/or Facets preferred.

#LI-RK1 #LI-REMOTE

Stefanini takes pride in hiring top talent and developing relationships with our future employees. Our talent acquisition teams will never make an offer of employment without having a phone conversation with you. Those face-to-face conversations will involve a description of the job for which you have applied. We also speak with you about the process including interviews and job offers.

About Stefanini Group: The Stefanini Group is a global provider of offshore, onshore and near shore outsourcing, IT digital consulting, systems integration, application, and strategic staffing services to Fortune 1000 enterprises around the world. Our presence is in countries like the Americas, Europe, Africa, and Asia, and more than four hundred clients across a broad spectrum of markets, including financial services, manufacturing, telecommunications, chemical services, technology, public sector, and utilities. Stefanini is a CMM level 5, IT consulting company with a global presence. We are CMM Level 5 company

Pay Range: $ 17.00 - $ 18.00